Billing & Collections
| There are many great reasons an office may consider outsourcing their billing and collection needs to PBS. You want qualified billing experts in charge of your billing. You want to save time, money and worries. Perhaps you want to reduce the chance of unbilled claims due to lost encounter slips and have the ability to speed up the transfer of claims processing. You may just want to spend more time with patients. At PBS we become your trusted experts! We provide accounts receivable reviews, track reimbursement trends and go over key financial performance reports. The PBS team has provided these services to many specialties and has experience in numerous systems. | |
| Why Choose PBS for Your Outsourced Billing Needs? -
Lower billing & coding costs. -
Experienced team which means no employee salaries, taxes and benefits to pay. -
No employee recruiting and training costs. -
Electronic storage and optimum security. -
Faster turnaround times with lower denial rates. -
Your accounts receivables are manageable due to direct oversight and routine communication
of any areas of concern. Billing and Collection Services Contact us today to learn more! File Claims Most claims are filed electronically and we will work with clearinghouses to ensure claims are transmitted according to payer specifications. We will implement a process for sending secondary claims and review payer response reports to ensure claims are received by the payer. PBS will file claims electronically or paper and ensure accurate and timely filing of secondary claims therefore increase your cash flow by maximizing first time acceptance of claims. Back to Billing & Collections Services >> Send Statements Statements or collection letters are sent on behalf of your practice or facility. The protocols of statements and collections are performed according to your specifications. You can customize statements and collection letters. Back to Billing & Collections Services >> Electronically Post Payments At PBS we will provide payment posting with automated feature that requires very little manual labor. We coordinate set-up with payers to ensure receipt of electronic remittances, retrieve electronic EOBs and set-up reason rules and payment guidelines to improve AR denial tracking, balancing each remit and provide an auditing process to ensure accuracy. Back to Billing & Collections Services >> Verification of Benefits Automation is key and therefore we will put the automated verification of benefits performed prior to appointment in conjunction with facility schedule. We will create registration and health history forms as well as coordinate online features for pre-registration process. Back to Billing & Collections Services >> AR Analysis We will provide an evaluation of payer payment patterns and identify root causes. AR reports can be produced in a wide variety of ways to create the best snapshots of what is happening and where things need to be modified to achieve maximum results. A detailed and specific report outlining days in AR, what trends are discovered as well as what can be done to collect maximum dollars. Back to Billing & Collections Services >> Denial Management PBS will help assess denial patterns and trends in your practice and quantify the actual impact of denials. We will provide a detailed list of codes or procedures being denied and provide education as to how to resolve future denials. Back to Billing & Collections Services >> Decrease AR Days/Reduce Bad Debt PBS will help increase collections by identifying payer specific reimbursement guidelines with highly experienced insurance representatives and review prior guidelines (if any) and recommend new guideline. At your request, PBS will arrange and be part of insurance representative meetings. Back to Billing & Collections Services >> Increase Payer Reimbursements PBS will establish systems to assist personnel in the day to day collection of deductibles and co-payments. We provide education and system guides to personnel and train when appropriate to increase payer reimbursement and provide scripts as needed. Back to Billing & Collections Services >> Reports Because each practice is different PBS will customize reports for you. Financial and operational reporting including interpretation of data and implementation strategies to improve financial and operational performance. Back to Billing & Collections Services >> EOB Storage We electronically store and scan EOBS from payer. Back to Billing & Collections Services >> Data Entry We obtain the patient demographic data from the provider and input it in our system. Back to Billing & Collections Services >> Medical Coding Our Medical Coders have vast experience in all specialties, including: Radiology, Emergency Medicine, Pathology, Cardiology, Otolaryngology and Dermatology to name a few. We are experienced with CPT, ICD-9, and HCPCS coding across all specialties, insurance and governmental requirements, and payer-specific coding requirements in the region. Back to Billing & Collections Services >> Coding Benchmarks At PBS we know how important benchmarks are and therefore we generate reports based on coding trends and compare data to other providers to determine if you are inline with others. Back to Billing & Collections Services >> Coding Questions Unsure of the correct CPT code to use? Can't find the right modifier? Submit us your coding question via email and we'll get you the answer. Train all aspects of CPT, ICD9 and HCPCS codes, provide claim appeal letters claims with supporting documentation. Back to Billing & Collections Services >> Document Review We review medical records to ensure that the documentation supports the service that was billed, ensuring that there has not been up or down coding. Back to Billing & Collections Services >> Educational Feedback To ensure that all that we discover can be corrected for good, PBS will provide education and training material specific to your specialty. Back to Billing & Collections Services >> Charge Capture/Lost Revenue At PBS we will ensure that all services that are performed are billed and make every visit a reimbursable service if at all possible. We review encounter forms and documentation to ensure that you are capturing all office charges, as well as set up access to hospital records to ensure capturing of all hospital charges. Back to Billing & Collections Services >>
|